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HomeMy WebLinkAboutSUBMITTED PAPERSi l � Date: Fee Due: - S 0 Receipt# f - J, I Permit # Planning & Development Services 19Cq Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 4C� . (772)462-1553 00 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing. ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition L(Gas. ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 14'9 0 1 W • AMCrLE, Rt, , F7- . P l EILQ-�. 2. Parcel ID Number: Q---JZ(a J-) -L-000Q_ _ O©© - b Office Use Section Township Range Map Page Zoning Land Use Initials Only 3. Complete Description of Project or Work: RU►J CYAS llNf FRem xisllnt� U, TAtu,- -tom �)4�4T1>llG- GFtyF2l1TOR 4. Owners Information 5. Contractors Information l� Name: LpN CLAILIC. FL Reg/Cert #: Address: bex I Ltgr County Cert#: City: PAcop-g- HAyE4,s State: FL. Business Name: Louc'S R12 �NI�IT1pN1N��� Zip: 3 s g i I Phone: 6. Value of Construction: $ i a00 00 Phone-96345'3-°7S`71 Fax: $(93-4S3 '`7Srl � - OWNER'S AFFIDAVIT: I certify that all of the information contained in this appl' ' n is correct and that all work will be done in ]�/� compliance with all applicable laws regulating const tion an oning. kv-i t& F r )J R- - O N (t PRINT OWNER OR CONTRACTOR NAME SIGNATURE F R OR CONTRACTOR_ STATE OF FLORIDA, COUNTY OF H lC- N t.,A iji" ACKNOWLEDGED BEFORE ME THIS aLF—L- DAY OF r1r— >-6&LtAVY 20 14 BY �F NNETi1 1�- �a�C WHO IS PERSONALLY KNOWN TO ME Y OR WHO HAS PRODUCED I AS IDENTIFICATION. KA(w SANG r Q1 (LtaZN A 0a`��` SIGNATURE OF NOTARY 4Tryl5EWM%RINT NAME OF NO ARY 1,a COMMISSION NUMBER ] _ 401- (seal) "ENE MCGRAiH V "u"ic , State of Flotidl My Comin Expires Sep 7.2017 Commission i FF CM19 swft lhrtxlph - NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESU N IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 04/26/2010 NOTICE TO OWNER: FAILURE ITO RECORD A NOTICE OF COMMENCEMENT Mu `YiESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000. Please complete, all information in the space provided. All information must be printed (use black or blue ink only) or typed. This permit application is to be used only for those activities that are not otherwise included under a primary building permit. This application may not be used for any activity that includes structural alteration. The information to be provided with this application includes: 1. Location/Site Address . 2. Parcel ID Number 3. Description of Project or Work Activity 4. Owner Information 5. Contractor Information 6. Value of Construction Indicate the street address or general location of property where the building activity is taking place. Indicate the tax identification number of the property where the building activity is taking place. Fully describe the activity to take place. Indicate the name and address of the owner of the property on which activity is taking place. Indicate the State of Florida registration number (if applicable), St. Lucie County contractor license number and the name of the business doing the work. Indicate the total value of the work to take place. Total cost of construction includes all current retail material and labor costs associated with the building/construction activity. Construction value is used to determine the permit fee. St. Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction. ❑ Gas Attach 2 piping schematics with tank size, location, and BTU of each appliance ❑ Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications ❑ Fence Attach 2 plot plans showing location of fence height of fence and type of fence ❑ Siding Attach 2 copies of manufactures specifications ❑ HVAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts for new system or full replacement This application can be submitted to St. Lucie County Building and Zoning, 2300 Virginia Avenue, Fort Pierce, FL 34982. All permit applications must be filled out completely before submission. No applications will be accepted for processing after 4:30 P.M. For assistance in completing this application, please call (772) 462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday. NOTE. Emergency electric service change out inspections will not be performed after 3: 00 PM without special arrangements and additional fee paid. Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261 JOSEPH E. SMITH, CLEHE CIRCUIT COURT — SAINT LUCIE CCJWY FILE # 3932281 ORB mw 0 PAGE 1728, Recorded 03/07/201 25 PM et3zx.g�culsuiit)�ulx� rtl LONG'S AIR CONDITIONING. INO SOD U.S. HWY 77 N. AVON PARK, FL 33825 17NSILf JVNNn:@. T,.F�ho�n73°e-xlsaoo7.00aa NO'I'ICEOrCODIYIENCF:D3F.NT 9TIe undersigned INmby given IRltice that Impmvemenl \,.ill be ammo to tel lam ro.d puglerly. and in m anlaoct wish Chapter 711 Li Fioridn Stalucs, the fDllneing mfilnnmum c; pnn•iJed m Ilx NUTIC'E.OG l'UMMIiN('L•!v11.N'I', I.DESCRIPTIONOFPROPLRTV(LeUaldewliI mi-.sr-i aJJm H. iravailalJe) 1'AN ixxio N0,: 7drI,317.•OUO2mMA _—r SUBDIVISION NI.IR'N INAf.T Lrl'I' III.IN: 1'NI'1' 1AaU1 WlWGLE RO. FT PIERCE. FL 2. Cl:NI'RAL DYN17111TION (IY INiI'RO\'1'.Ml:N\: CHANOEOOT 400 AMP TRANSFER SWITCH 3. OIYNERMFRRMAIRON n. Vonv 4CON CLARe aNn CPROIyN Sf,IARN _^"-_-Y'_• ^� h ArLh..s P O BOX 1497. MOORE HAVEN, FL 734) 1 .:Irn•.... mpu...—, lOp.Ss._i'EF>IMPLF _ J Namr end rJdrcn o(feo einPle rineM1>Ider tifmh.r rt.,n u,.m.n NrA ,._.._. S. D0;\7'IL\(7lIR'S NAhlE,ADDRi:SS ANTI I'llONI'. NIIAl11EN: LONG'S AIRCON(11TIONING,.Ir1o._Qa7.µ@.g!(:r gT N, gvgn,r�l(, rL, a'fegf 1X7451.1511 $ %:RV..tNNNAMI.AnnklX,.AN"1'110\I ND\IRFRANDIHI\DA510INI; WA 6 I.FJ40ER'S N'A.ML ADORF SS ANII PIIONI' NI'h1aER: NIA 7 Identity of persons midlin the stave of 1'londo defiumlled t y Uwln'1 u(v•n \\Ilaln urlln•+nr ultmr Jlnurtmno nmy M: svInJ as provided by Section 713.13 (I) (a) 7. f IotlJ.iStatulcs. NAME, AnDR1.SS ANo plioNr. Nlt%lill:R: 9. In udddion to 1,imx'If or berxlf. Uwnet de,%pmisalrc rullo\vmg W meeive n \,ppy ol'du• 1 iron's Non v a, In- Wed of Seelmu 713.13 (1) (h), Flurida Stam" NAMY ADDR1t AND F110NE n0?nIER: V. IiKpimnon dmo ofnaice of \»mnu'llccm¢nt (lhe e\purmmn dale is I )au liom tiro dale ol'recording unless a dN)'erent date is 20 , r1'ARNiRC0''(AVKtl•.A:1YI'AYFKi*FR TIISI:IIY 0I(11(F\i:{(\II I.R flit: I:\I'IR.\nv-NZif ff 11; R'17('L•OFCOAINILV('I:AI1. ARE ('U. SIDERGD I\IPRUPER PAYAIEN7;61). PART L 16(TIUN 11 3.h FIA)RIDA S'1.1T1:'11iS..\nD P.\N RI':SUITIN Y(IIIR PAI'IN(:7\VICPFOR I\II'RO\'IMEN i`51(1 YOUR PROI'I•:RIN' AVIrIICI: OI t'UN?II:N('L'AfENI NII'ST UI: Rf.(fURI)li(]iiNDI�STrDUN TIIE7, {ffk_Ifl liJIiF TIIl'fiR$TI�51'tiTl(SN,II')'(n.IKI'PaID'I:G I11iTA..I!.. ...N('IR(:, ('yVtit. LI WI1II 1'Ul1R LL@NUER(7H AN A7 1014NEY IlliFr IRI'r, (L\1\1LK( IVi) N'i!ItA (iR R11'(77;UIVt11(11I1t VOTIL"ti OF C°tIN)A1ENt:PNII 1 Vnakauwl parswrnw Smaan o_ 521. FwnJ.,5u4ne. 1:10. rut dmjy .I deW I"l6arr nwllFc L+,y�nnamA oral iN•IwU runwr n,e:lu pa lr:a�•rmr L.n,Ir:ly�.arlfrhrll5n•Inm u:.1:1. FNarS:.>Innrl•.\) c ' RDn9rt oCOw For 1'rinl Nunr and 1'nwidp SICDalory's'1'illdOmct 0rvnv'sMlh QllicerlDireclnrll'xrturN]IRnaeer Stale of Flofida Cauaty of I lighl,ind, the foregoing mstrumeol was ackmrwlydgeJ benrcr me tllis •.3„_ ._ dnv of YY) ARCk .20 Ny LtaN S r C•LAtir ---.._._.__ nun .....___...._.______• os �.__._...___.__..... (lc of pclsonl Ilype M au[linny�. e g ath:er truVec, ululnlc) in t.1cu For (JAamc 0Cpuny on hehaiCof \ i,.no ii rtmicm was ececlded) Personally known or Umduced the Iblkminy type ofidenlilicalmn NARI JANE ItC&WH Notary Public • Stata of Film My Comm. Eyplm gap 17 2017 Commluion I FF 04019 9o1d�A llradtFlrarFIMIMAIIN STATE Of FLORIDA CT i or..1.F nNINTY